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Quality of life and health status of Indonesian women with breast cancer symptoms before the definitive diagnosis: A comparison with Indonesian women in general

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  • Hari Setyowibowo
  • Fredrick Dermawan Purba
  • Joke A M Hunfeld
  • Aulia Iskandarsyah
  • Sawitri S Sadarjoen
  • Jan Passchier
  • Marit Sijbrandij

Abstract

Objectives: Breast cancer (BC) is prevalent in low and middle-income countries (LMICs) where the majority of cases are diagnosed in late stages. The aims of this study were: (1) to assess quality of life (QOL) and health status of Indonesian women with BC symptoms before definitive diagnosis; (2) to compare QOL and health status between women with BC symptoms before definitive diagnosis and Indonesian women in general; (3) to evaluate the association between demographic variables (age, residence, social economic status and education level) and QOL within the Indonesian women with BC symptoms before definitive diagnosis. Methods: We used WHOQOL-BREF to measure QOL and EQ-5D-5L for health status. Multivariate analysis of covariance (MANCOVA) was used to compare QOL and health status between women with BC symptoms and women from the general Indonesian population in order to control for confounders. Regression analyses were used for testing the association between the demographic variables, QOL, and health status. Results: In comparison with the data from the women from the general population (n = 471), the women with BC symptoms (n = 132) reported lower QOL, especially in physical and psychological domains. They also reported more problems in all dimensions of health status. Higher education and monthly income were positively associated with QOL and health status among the women with BC symptoms. Conclusion: Before receiving a definitive diagnosis, women who visit hospitals with symptoms of BC, report a lower QOL and health status than women in general. Our results suggest that healthcare providers should provide targeted strategies for women with BC symptoms to improve their QOL.

Suggested Citation

  • Hari Setyowibowo & Fredrick Dermawan Purba & Joke A M Hunfeld & Aulia Iskandarsyah & Sawitri S Sadarjoen & Jan Passchier & Marit Sijbrandij, 2018. "Quality of life and health status of Indonesian women with breast cancer symptoms before the definitive diagnosis: A comparison with Indonesian women in general," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-11, July.
    • Handle: RePEc:plo:pone00:0200966
    DOI: 10.1371/journal.pone.0200966
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    References listed on IDEAS

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    1. Fredrick Dermawan Purba & Joke A. M. Hunfeld & Aulia Iskandarsyah & Titi Sahidah Fitriana & Sawitri Supardi Sadarjoen & Juan Manuel Ramos-Goñi & Jan Passchier & Jan J. V. Busschbach, 2017. "The Indonesian EQ-5D-5L Value Set," PharmacoEconomics, Springer, vol. 35(11), pages 1153-1165, November.
    2. Bei Yan & Li-Ming Yang & Li-Peng Hao & Chen Yang & Lei Quan & Li-Hong Wang & Zheng Wu & Xiao-Pan Li & Yu-Tang Gao & Qiao Sun & Jian-Min Yuan, 2016. "Determinants of Quality of Life for Breast Cancer Patients in Shanghai, China," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-14, April.
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    Cited by:

    1. Zimmermann, Georg & Pauly, Markus & Bathke, Arne C., 2020. "Multivariate analysis of covariance with potentially singular covariance matrices and non-normal responses," Journal of Multivariate Analysis, Elsevier, vol. 177(C).

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